RNFA Final Exam Questions and Correct Answers
1. Precautions apply to blood, all body fluids, secretions, and excre-
tions (except sweat), regardless of whether they contain visible blood, mucous
membranes, and non-intact skin.: Standard
2. Which of the following anesthetics may result in fasiculations for the pa-
tient?: Succhinylcholine
3. Hypothermia has been shown to be a factor that may place the surgical
patient at risk for infection and delayed healing. What intervention is an
engineered control factor to protect the patient from hypothermia?: b. set the
ambient room temperature between 68° and 73° F
4. A basic anesthesia monitoring device that is used during general anes-
thesia to confirm successful endotracheal tube placement and determine the
presence of gas exchange is the:: capnometer/end-tidal CO2 monitor
5. The first step in the decontamination process is:: Cleaning
6. Which of the following requires at minimum, 2 patient identifiers on speci-
men labels?: Joint Commission
7. A 9-year-old diabetic with an insulin pump, has arrived in the OR for emer-
gency repair of superficial facial and deep arm lacerations. The RNFA should
consider which of the following options for energy-generated hemostasis?: -
Bipolar Electrosurgery Unit
8. During a hysteroscopy, sterile saline is used to expand the intrauterine com-
partment and enhance visualization. The perioperative nurse is concerned
that approximately 500 ml of fluid was unaccounted for and alerted the sur-
geon and RNFA. The nurse's motive for this surveillance is to:: Potential for
Intervastation
9. Which of the following statements reflects the location of the arcuate line?-
: one third of the distance between the umbilicus and the symphysis pubis.
10. Laparoscopic procedures that emergently convert to open procedures
place the patient at risk for unintentional retained surgical items (RSI). What
risk reduction strategy could prevent RSI?: Replacing or tagging sponges and
laparotomy instruments with RFID chips.
11. The surgical hand scrub is designed to render the hands, nails, and arms-
: Surgically Clean
12. The RNFA instructed the new anesthesia resident in the proper positioning
of the arm and hands on the OR bed armboards. The resident was cautioned
to avoid pressure on the elbow to prevent:: Ulnar Nerve Injury
13. A type of suture to help eliminate tension on the primary suture line is
known as:: Retention Suture
14. Identify the primary substance found in the epidermis that protects the
body from fluid loss and invasion by pathogens.: Keratin
, RNFA Final Exam Questions and Correct Answers
15. When a patient absorbs an unsafe amount of local anesthetic into the
bloodstream, a catastrophic outcome is possible. Treatment for LAST includes
the use of which of the following?: Lipids
16. When buried in tissue, silk loses its tensile strength after what period of
time?: 1 Year
17. Guidelines from WHO focus on which of the following in the prevention of
surgical site infections?: Use of Prophylactic Antibiotics
18. To help visualize abdominal structures and to enhance safety during la-
paroscopic procedures, a pneumoperitoneum is created. After Veress needle
confirmation, insufflation tubing is connected and the process begun. CO2
gas is used to insufflate the abdominal cavity at an ideal flow rate of
to achieve an ideal intra-abdominal pressure of .: 9 L/min;14 to 16 mm
Hg
19. Due to the BMI of the patient, the case you are participating in was
converted to open laparotomy. Your surgeon is uncertain as to which self
retaining retractor is available within the facility. From the following, which is
an appropriate suggestion?: Bookwalter
20. The safest and most commonly used method of sterilization is which of the
following?: Steam Sterilization
21. Has been identified to reduce SSIs and affect surgical outcomes?: Antibi-
otics given IV within 1 hour of the incision for every procedure with an incision or
entered body system.
22. When applying sterile drapes to create the sterile field on the patient, which
of the following principles is most important.: Drape the patient starting with the
incision area and proceeding to the periphery.
23. To prevent sharps injury, which of the following is a risk reduction strategy
to be used by the sterile team members?: Passing sharp items using neu-
tral/hands-free techniques instead of passing hand to hand.
24. The most commonly used medication for local anesthesia is ?-
: Lidocaine
25. The OR was trialling a new insufflation system and the vendor represen-
tative was out of the room taking a phone call. The perioperative nurse was
concerned that the flow rate was well above 14 L/min and the pressure had
risen to 16 mm Hg. She alerted the surgeon and reduced the rate and pressure
because she feared that the elderly patient was at high risk for:: Hypercarbia
26. Your patient had an episode of vomiting during anesthesia induction and
was effectively suctioned by anesthesia. Upon extubation, the patient pre-
sented with coughing, wheezing, dyspnea, use of accessory muscles, and
tachypnea. What is this patient most likely experiencing?: Bronchospasm
, RNFA Final Exam Questions and Correct Answers
27. High-pressure insufflation rates can cause overpressurization of the in- tra- X2 X2 X2 X2 X2 X2 X2 X2 X2
abdominal cavity.This overpressurization can lead to which of the follow- X2 X
2 X2 X2 X2 X2 X2 X2 X2 X2
ing?: Hypercarbia
X2 X2
28. Laryngospasm is a serious complication often seen in the PACU setting. W X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
hat is the ideal immediate and last resort response by the anesthesia provider o
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
r perianesthesia nurse in an emerging patient who has been in spasm for over 1
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
minute?:suctioning, IV succinylcholine administration, and rein- tubation X2 X2 X2 X2 X2 X2 X2
29. Which of the following is not a characteristic of silk suture?: Memory X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
30. The first case of the day is scheduled as a knee arthroscopy for an other-
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
wise healthy 24 year old patient. Upon pre assessment, the patient admits to a f
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
amily history of anesthesia and surgical complications. Patient also states last o
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
ral intake consisted of eating a cheese steak and drinking 2 cans of beer the night
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
before at 11:30 PM.The patient subsequently vomited when intu-
X2 X2 X2 X
2 X2 X2 X2 X2 X2
bation was performed and experienced respiratory distress upon extubation. W
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
hat measure could have been taken by the team to prevent aspiration based onthe
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X
2 X
2
patient'shistory?:Theperioperativenurseapplyingcricoidpressureduring induction t
X
2 X
2 X
2 X
2 X
2 X
2 X
2 X
2 X2 X2
hrough intubation X2
31. The instillation of a local anesthetic into the subarachnoid space is ter
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
med:: Spinal Anesthesia X2 X2
32. What is the appropriate action if the doctor is delayed after the room and ins
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
truments have been opened?: Cover the instruments with a sterile drape and have t X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
he scrub nurse continually visually observe the room for breaches in sterility.
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
33. Select the positioning device commonly used for positioning the head du X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
ring procedures such as craniotomies.: Mayfield Head Positioners
X2 X2 X2 X2 X2 X2 X2
34. Hypotension is a blood pressure reading that is 20% less than the pa- X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
tient's normal baseline pressure. Hypovolemia is the most common cause of p
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X 2 X2
ostoperative hypotension; however, hypotension may also be caused by cardia X2 X2 X2 X2 X2 X2 X2 X2 X2
c dysfunctions.Which of the following cardiac conditions will present with hyp
X2 X
2 X2 X2 X2 X2 X2 X2 X2 X2 X2
otension?:myocardial infarction, myocardial tamponade, and pulmonary embolism X
2 X2 X2 X2 X2 X2 X2
35. The ideal suture material is one that has handling characteristics such as
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
:: Pliability X2
36. Which of the following patient modifiable factors can contribute to surgical site X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
infections?: Alcoholism
X2 X2
37. Which anesthetic agent could not be given if an IV- X2 X2 X2 X2 X2 X2 X2 X2 X2
only anesthesia plan was employed?: Desflurane
X2 X2 X2 X2 X2
38. A type of monofilament suture that does not require the user to tie knots is k
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
nown as:: Barbed X2 X2
1. Precautions apply to blood, all body fluids, secretions, and excre-
tions (except sweat), regardless of whether they contain visible blood, mucous
membranes, and non-intact skin.: Standard
2. Which of the following anesthetics may result in fasiculations for the pa-
tient?: Succhinylcholine
3. Hypothermia has been shown to be a factor that may place the surgical
patient at risk for infection and delayed healing. What intervention is an
engineered control factor to protect the patient from hypothermia?: b. set the
ambient room temperature between 68° and 73° F
4. A basic anesthesia monitoring device that is used during general anes-
thesia to confirm successful endotracheal tube placement and determine the
presence of gas exchange is the:: capnometer/end-tidal CO2 monitor
5. The first step in the decontamination process is:: Cleaning
6. Which of the following requires at minimum, 2 patient identifiers on speci-
men labels?: Joint Commission
7. A 9-year-old diabetic with an insulin pump, has arrived in the OR for emer-
gency repair of superficial facial and deep arm lacerations. The RNFA should
consider which of the following options for energy-generated hemostasis?: -
Bipolar Electrosurgery Unit
8. During a hysteroscopy, sterile saline is used to expand the intrauterine com-
partment and enhance visualization. The perioperative nurse is concerned
that approximately 500 ml of fluid was unaccounted for and alerted the sur-
geon and RNFA. The nurse's motive for this surveillance is to:: Potential for
Intervastation
9. Which of the following statements reflects the location of the arcuate line?-
: one third of the distance between the umbilicus and the symphysis pubis.
10. Laparoscopic procedures that emergently convert to open procedures
place the patient at risk for unintentional retained surgical items (RSI). What
risk reduction strategy could prevent RSI?: Replacing or tagging sponges and
laparotomy instruments with RFID chips.
11. The surgical hand scrub is designed to render the hands, nails, and arms-
: Surgically Clean
12. The RNFA instructed the new anesthesia resident in the proper positioning
of the arm and hands on the OR bed armboards. The resident was cautioned
to avoid pressure on the elbow to prevent:: Ulnar Nerve Injury
13. A type of suture to help eliminate tension on the primary suture line is
known as:: Retention Suture
14. Identify the primary substance found in the epidermis that protects the
body from fluid loss and invasion by pathogens.: Keratin
, RNFA Final Exam Questions and Correct Answers
15. When a patient absorbs an unsafe amount of local anesthetic into the
bloodstream, a catastrophic outcome is possible. Treatment for LAST includes
the use of which of the following?: Lipids
16. When buried in tissue, silk loses its tensile strength after what period of
time?: 1 Year
17. Guidelines from WHO focus on which of the following in the prevention of
surgical site infections?: Use of Prophylactic Antibiotics
18. To help visualize abdominal structures and to enhance safety during la-
paroscopic procedures, a pneumoperitoneum is created. After Veress needle
confirmation, insufflation tubing is connected and the process begun. CO2
gas is used to insufflate the abdominal cavity at an ideal flow rate of
to achieve an ideal intra-abdominal pressure of .: 9 L/min;14 to 16 mm
Hg
19. Due to the BMI of the patient, the case you are participating in was
converted to open laparotomy. Your surgeon is uncertain as to which self
retaining retractor is available within the facility. From the following, which is
an appropriate suggestion?: Bookwalter
20. The safest and most commonly used method of sterilization is which of the
following?: Steam Sterilization
21. Has been identified to reduce SSIs and affect surgical outcomes?: Antibi-
otics given IV within 1 hour of the incision for every procedure with an incision or
entered body system.
22. When applying sterile drapes to create the sterile field on the patient, which
of the following principles is most important.: Drape the patient starting with the
incision area and proceeding to the periphery.
23. To prevent sharps injury, which of the following is a risk reduction strategy
to be used by the sterile team members?: Passing sharp items using neu-
tral/hands-free techniques instead of passing hand to hand.
24. The most commonly used medication for local anesthesia is ?-
: Lidocaine
25. The OR was trialling a new insufflation system and the vendor represen-
tative was out of the room taking a phone call. The perioperative nurse was
concerned that the flow rate was well above 14 L/min and the pressure had
risen to 16 mm Hg. She alerted the surgeon and reduced the rate and pressure
because she feared that the elderly patient was at high risk for:: Hypercarbia
26. Your patient had an episode of vomiting during anesthesia induction and
was effectively suctioned by anesthesia. Upon extubation, the patient pre-
sented with coughing, wheezing, dyspnea, use of accessory muscles, and
tachypnea. What is this patient most likely experiencing?: Bronchospasm
, RNFA Final Exam Questions and Correct Answers
27. High-pressure insufflation rates can cause overpressurization of the in- tra- X2 X2 X2 X2 X2 X2 X2 X2 X2
abdominal cavity.This overpressurization can lead to which of the follow- X2 X
2 X2 X2 X2 X2 X2 X2 X2 X2
ing?: Hypercarbia
X2 X2
28. Laryngospasm is a serious complication often seen in the PACU setting. W X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
hat is the ideal immediate and last resort response by the anesthesia provider o
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
r perianesthesia nurse in an emerging patient who has been in spasm for over 1
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
minute?:suctioning, IV succinylcholine administration, and rein- tubation X2 X2 X2 X2 X2 X2 X2
29. Which of the following is not a characteristic of silk suture?: Memory X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
30. The first case of the day is scheduled as a knee arthroscopy for an other-
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
wise healthy 24 year old patient. Upon pre assessment, the patient admits to a f
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
amily history of anesthesia and surgical complications. Patient also states last o
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
ral intake consisted of eating a cheese steak and drinking 2 cans of beer the night
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
before at 11:30 PM.The patient subsequently vomited when intu-
X2 X2 X2 X
2 X2 X2 X2 X2 X2
bation was performed and experienced respiratory distress upon extubation. W
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
hat measure could have been taken by the team to prevent aspiration based onthe
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X
2 X
2
patient'shistory?:Theperioperativenurseapplyingcricoidpressureduring induction t
X
2 X
2 X
2 X
2 X
2 X
2 X
2 X
2 X2 X2
hrough intubation X2
31. The instillation of a local anesthetic into the subarachnoid space is ter
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
med:: Spinal Anesthesia X2 X2
32. What is the appropriate action if the doctor is delayed after the room and ins
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
truments have been opened?: Cover the instruments with a sterile drape and have t X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
he scrub nurse continually visually observe the room for breaches in sterility.
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
33. Select the positioning device commonly used for positioning the head du X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
ring procedures such as craniotomies.: Mayfield Head Positioners
X2 X2 X2 X2 X2 X2 X2
34. Hypotension is a blood pressure reading that is 20% less than the pa- X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
tient's normal baseline pressure. Hypovolemia is the most common cause of p
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X 2 X2
ostoperative hypotension; however, hypotension may also be caused by cardia X2 X2 X2 X2 X2 X2 X2 X2 X2
c dysfunctions.Which of the following cardiac conditions will present with hyp
X2 X
2 X2 X2 X2 X2 X2 X2 X2 X2 X2
otension?:myocardial infarction, myocardial tamponade, and pulmonary embolism X
2 X2 X2 X2 X2 X2 X2
35. The ideal suture material is one that has handling characteristics such as
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
:: Pliability X2
36. Which of the following patient modifiable factors can contribute to surgical site X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
infections?: Alcoholism
X2 X2
37. Which anesthetic agent could not be given if an IV- X2 X2 X2 X2 X2 X2 X2 X2 X2
only anesthesia plan was employed?: Desflurane
X2 X2 X2 X2 X2
38. A type of monofilament suture that does not require the user to tie knots is k
X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2 X2
nown as:: Barbed X2 X2
